I underwent formation of a j pouch 4 months ago, but in last month feel I have frequency and urgency developing again, I almost feel like I have UC back sadly. I have also had mild stomach ache on occasions managed with one dose of analgesia. Today I seem to be passing on three occasions fresh blood and there feels like discomfort and pressure when this happened. Any advice?
I previously had a course of antibiotics with good effect and felt my bowel motions were less frequent or urgent .
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This could be a recurrence of pouchitis, but the blood more often suggests cuffitis. Can you get scheduled for a pouchoscopy, or at least a competent rectal exam by a pouch-knowledgeable gastroenterologist or your surgeon?
I agree with Scott. I had similar thing going on about 3-4 months after reconnection and it turned out to be mild pouchitis. It was tolerable but I could tell that something was off. I started the prescription dose VSL3 and used Rowasa enemas and it got better in about 3-4 weeks. Definitely consult with a GI to see if they want to treat it as pouchitis or do a scope. If you aren't taking VSL3, I really recommend it. I was taking the pills but it wasn't enough. The packets with the higher dose really made a difference!
